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Illinois rates for HCPCS 78815

Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh

Facilitymedian $174 · 10th–90th $100–$3390%20%10th90th$174Professionalmedian $178 · 10th–90th $100–$4170%10%10th90th$178$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $173.78 / $338.84
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$100.00 / $181.97 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$93.33 / $138.04 / $162.18
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$97.72 / $162.18 / $251.19
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$120.23 / $190.55 / $758.58
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$138.04 / $141.25 / $147.91
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$107.15 / $151.36 / $302.00